Could two existing drugs unlock sperm production in infertile men?
NCT ID NCT06706414
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This early study tests whether two drugs—denosumab and letrozole—can help men with a specific type of infertility (non-obstructive azoospermia) start producing sperm. Sixteen men will take the drugs for about three months, and researchers will check for sperm in their semen or testicular tissue. The goal is to see if this combination can improve fertility, but it's a small, early trial, so results are uncertain.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Denosumab (Prolia) injection and letrozole oral tablet
- What this could lead to
- If it works, this could offer a new way to help some infertile men produce sperm, potentially enabling biological fatherhood.
- What could go wrong
- This is a very small, early-phase trial with only 16 men. It may not work for everyone, and the long-term safety and effectiveness are unknown.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
-
About 16 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Mar 2025
- Expected to finish
-
Aug 2026
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 60 years
- Sex
-
Male participants only
- Healthy volunteers
-
Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Infertile men ≥ 18 years and \< 60 years of age with azoospermia with normal semen volume (\> 0.9 mL) verified by minimum 2 semen samples. * No identifiable cause of obstruction. * Testis size (Prader Orchidometer) ≤ 15 mL on both sides in patients where no prior TESE is available * Serum AMH levels ≥5 pmol/L. Exclusion Criteria: * Chronic diseases, defined as diagnosis where signs, symptoms, and treatment imply an expected long duration and lack of a cure, such as diabetes mellitus, metabolism disorders, osteoporosis, colitis, etc. * Chromosome anomalies e.g. Klinefelter Syndrome, XX male * AZFa/b/c microdeletions besides b2/b3 og gr/gr * Detected CFTR mutation * Men with current or previous malignancies, or at potential risk of testicular cancer after baseline examination and ultrasound will be excluded * Men with hypocalcemia at baseline, defined as albumin corrected calcium \< 2.17 mmol/L or total calcium \< 2.14 mmol/L * Serum vitamin D (25OHD) levels \< 25 nmol/L * estimated Glomerular Filtration Rate (eGFR) \< 60 mL/min/1,73 m2 * Insufficient dental status * Hypersensitivity to latex, Denosumab, or to any of the excipients (acetic acid, sodium hydroxide, Sorbitol (E420), Polysorbate 20) will be excluded. * Serum Inhibin B \< 5 pg/mL * Androgen replacement therapy * Hypogonadotropic hypogonadism * BMI ≥ 35 kg/m2
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Division of Translational Endocrinology, Department of Endocrinology and Internal Medicine, Herlev and Gentofte Hospital
Herlev, 2730, Denmark
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Could a weekly pill help men with no sperm become fathers?